Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $73.48 / $302.64	Facility		$70.29	$73.48	$302.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $85.00 / $114.70	Professional		$53.87	$85.00	$114.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $171.27 / $171.27	Professional		$171.27	$171.27	$171.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.01 / $103.54 / $201.90	Facility		$79.01	$103.54	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $109.52 / $115.28	Professional		$56.22	$109.52	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $127.69 / $159.61	Professional		$102.00	$127.69	$159.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.45 / $209.35 / $348.60	Facility		$86.45	$209.35	$348.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $44.68 / $212.91	Professional		$38.15	$44.68	$212.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $97.61 / $421.74	Facility		$39.93	$97.61	$421.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $117.95 / $179.94	Professional		$39.93	$117.95	$179.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $119.49 / $143.38	Professional		$82.24	$119.49	$143.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $44.68 / $142.10	Professional		$36.25	$44.68	$142.10